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General NPI Number Information
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NPI Number | 1720982960
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Entity Type | Organization
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Legal Business Name | SARAH BUSH LINCOLN HEALTH CENTER
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Dates
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Enumeration Date | 10/02/2026
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Last Update Date | 10/02/2026
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Provider Practice Location Address
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Address Line | 902 N. MAPLE DR. SUITE 101
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City | EFFINGHAM
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State | IL
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Zip | 62401
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Country | US
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Telephone | 217-258-2411
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Fax |
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Provider Business Mailing Address
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Address Line | 902 N. MAPLE DR. SUITE 101
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City | EFFINGHAM
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State | IL
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Zip | 62401
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY
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Name | MATTHEW CLIFTON
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Credential | PHARM D
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Telephone | 217-258-2518
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State | NULL
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